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First Aid for Third Year Clerkships at JMC

Pediatrics Clerkship at duPont Hospital (Inpatient)

TRANSPORTATION

How did you get there? What is the IDEAL way to get there (if different)? If you took public transportation how much did it cost?
  • All students drive or carpool with other Jefferson students. The drive is roughly 45 minutes, and free parking is available at the hospital (park on the 3rd floor of the employee parking lot, around the back).

LIVING

If you lived away from campus, how was the housing?
  • N/A.
Food: Was it paid for? Were there free lunches? Did you get meal vouchers when you were on-call?
  • On Wednesday mornings, there are grand rounds and breakfast is provided. Lunch is provided most says during noon conference (Usually pizza, etc.). There is a cafeteria downstairs for days when there isn't free food.

SITE STRUCTURE

How were the 2 weeks divided up? What are the teams or the options for the rotations?
  • The teams consist of 1-3 medical students, possibly a 4th year, a few interns, a chief resident, and an attending. Options are Heme/Onc (‘North’ team), Gold, Red or Blue.
Are you able to request what you want?
  • No. But, if you’re particularly interested in one of these, email Sybil Fullard (the pediatrics administrator) at her Nemours email address (sfullard@nemours.org) and request at least 6-12 weeks before the start of your rotation!

FORMAL LEARNING

Did you have lectures/didactic sessions at your rotation site? How often? How long? Do you feel like they were as well organized as the lectures at Jeff?
  • Yes, often in the mornings and lunch lectures with free lunch! These usually lasted about 1 hour each.
Did you give a presentation? Were you required to do so?
  • There is no requirement, but you may give small talks on various subject related to your patients on rounds. Some attendings or chief residents will assign you a short talk pertaining to a patient case.

WORK SCHEDULE

What were your hours (roughly)?
  • 6:30 a.m. to 6 p.m.
  • Sign-in at 6:30 a.m., pre-round on your patients (you get assigned to follow 1-3 patients), write a progress (SOAP) note on your patients, then go to morning report at 8:30 a.m.-9:30 a.m. Radiology rounds with your team and the radiologist at 9:30 a.m. Then, formal rounds with the attending and your whole team, which consists of presenting your patients to the team and visiting each patient. You are responsible for presenting all your patients (including an assessment and plan, so talk to your resident prior to presenting to make sure they agree with your assessment and plan). After that, a lunch meeting is usually scheduled at noon. Afternoon is a mix of lectures/modules and seeing your patients again, doing paperwork and/or scheduling for your patients. Sign-out to the night team is at 5:30 p.m. and you go home after sign out.
Did you get off on major holidays, or were you expected to be there (i.e. Labor Day, Thanksgiving & Friday after Thanksgiving)? Weekends?
  • Yes, holidays were off. No weekends.
What was the call schedule? Were you able to pick your nights or trade with peers?
  • No call for medical students
In the Hospital, did you feel a part of the ‘team’? Did residents/attendings appreciate you?
  • Absolutely. The residents really appreciate what you do, so try to help as much as you can! Spend time seeing patients - if patients who aren’t assigned to you have interesting clinical findings, go in and examine them to get exposure to many different disease processes. Learn while you’re there!
How was the teaching by attendings?
  • Excellent, but it depends on the attending - some are great teachers and teach on rounds, and others don’t spend much time teaching. Most will respond well to you asking questions so if you’re interested in something or you’re confused - ASK. Dr. Celucci, Dr. Petrini, Dr. Malatack, Dr. Byck, Dr. Gardner, Dr. Walter, and lots more lots more attendings are absolutely great as teachers!

HOW TO BE A ROCK STAR

  • Research the conditions and share any information that you learn with the team. Be a team player and help your classmates out. Try to read in your down time on the floor as well, it'll help solidify your knowledge.

CANDID COMMENTS FROM STUDENTS

Any other site specific suggestions?
  • Read up on your patients' conditions. For example, if your patient has a viral gastroenteritis, look up bacterial, viral, and parasitic enteritis etiologies so that on rounds you can explain the differences and why you think your patient has a viral gastroenteritis. Also, you are learning for the Shelf, for your other rotations, for Step 2, and for the rest of your career. Read up on your patients' conditions, because this knowledge sticks with you more than the book reading we've done for our first two years of med school!
Pros:
  • Excellent residents and attendings, Great teaching.
Cons:
  • Commuting in traffic, no housing.

Last revised: 01/12


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